Chronic non-specific low back pain

慢性非特异性下腰痛
  • 文章类型: Journal Article
    个人在初级保健机构和即时护理中心寻求医疗护理的最常见原因是腰背痛(LBP)。在一段时间内,由腰痛引起的残疾已经上升了足够多,特别是在低收入或中等收入的国家。在未来的几年里,在低收入或中等收入国家,与LBP相关的减值和费用可能会增加,特别是当脆弱的医疗系统无法处理这种日益增长的负荷时。因此,这篇综述的重点是远程康复(TR)对LBP的有效性。TR的显著优点可以包括更大的交互和对医学治疗的远程可访问性。通过更有效的互动,可以交流知识和健康信息,这有利于患者,家庭,看护者,医师,和研究人员。生活在遥远地方的人们现在有机会获得医疗救助,帮助家庭照顾反应能力差的患者。此外,它提供了迅速检测的潜力,在紧急情况下开始治疗,住院时间缩短,不断监测那些处于危险之中的人,和整体时间和费用的节省。因此,这项研究支持TR在LBP条件下的应用,用于资源匮乏地区患者的早期治疗和疼痛缓解.
    The most frequent reason for individuals to seek medical attention in both primary care settings and immediate care centers is low back pain (LBP). Over a duration of time, the disability caused by lower back pain has risen enough, particularly in countries with low or moderate incomes. In the coming years, there may be an increase in LBP-related impairment and expenses in countries with low or medium incomes, particularly when fragile medical systems are unable to handle this growing load. Hence, this review focuses on the effectiveness of telerehabilitation (TR) on LBP. The significant advantages of TR may include greater interaction and remote accessibility to medical treatments. The exchange of knowledge and health information is made possible through a more effective interaction, which benefits patients, families, carers, physicians, and researchers. People who live in distant places now have the opportunity to get medical attention assisting families in caring for patients with poor responsiveness. In addition, it provides the potential for prompt detection, the beginning of treatment in the midst of an emergency, a shorter stay in the hospital, ongoing monitoring of those at risk, and overall time and expense savings. Therefore, this study supports the application of TR in conditions of LBP for early management and relief of pain for patients in low-resource areas.
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  • 文章类型: Journal Article
    OBJECTIVE: To compare the efficacy of kinesio taping on chronic non-specific low back pain with that of other general physical therapies.
    METHODS: Relevant studies published up to 31 July 2018 were searched in electronic databases (PubMed, Web of Science, Science Direct, Physiotherapy Evidence Database (PEDro), Cochrane Library, Wanfang Data, Vip Data and China National Knowledge Infrastructure). The quality of included studies was assessed using a risk of bias assessment tool, as recommended by the Cochrane Collaboration. Data from visual analogue scales and Oswestry Disability Index were extracted as selected outcome indicators. Tests of heterogeneity were performed. Weight-ed mean difference (WMD) data with its 95% confidence intervals (95% CI) were used as a measure of effect sizes, in order to pool the results from each included study using either a fixed or random effects model (where appropriate and possible).
    RESULTS: Eight studies fulfilled the inclusion and exclusion criteria. The quality of included studies was moderate. Patients with chronic non-specific low back pain in the kinesio taping group achieved better pain relief (WMD = -1.22; 95% CI -1.49 to -0.96, I2 = 91%, p < 0.00001) and activities of daily living (WMD = -7.11; 95% CI -8.70 to -5.51, I2 = 77%, p < 0.0001) than those in the control group.
    CONCLUSIONS: Kinesio taping may be a new, simple and convenient choice for intervention in low back pain. In the future, we can measure the efficacy about kinesio taping via clinical application in order to prove the possibility of treatment for low back pain.
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